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Traffic Control Plan <br />Proposed route <br />termination points). + <br />�r .f" 76 �Q'y,1 Sf rf-eee:t` 5� <br />❑ Include a map of proposed route to be used which shows barricades, street <br />closures, and/or perimeter/security fencing <br />Location by streets of psembly� � as for parade <br />Lie q{ <br />Lire o 1L, 4 <br />Time at which units of the parade or run will begin to assemble: 9 4, <br />Statement whether parade will occuRVll or only a portion of the width of the streets proposed to <br />be traversed:ni S7r-cr_J <br />Special city services :requested (barricades, cones, security, traffic control, etc.) A deposat nay be <br />grrared to aver ertamated costs inc rid by the cad far the s�ecaal event <br />�Am <br />LJ Insurance <br />The Certificate of Liability must name the City, its officials, employees, and agents, as additional <br />insured. The minimum limits must be at least $1,000,000. If alcoholic beverages are to be sold or <br />distributed, the policy must also include an endorsement for liquor liability per Chapter 6 of the Ell< <br />River City Code. <br />The Minnesota Data Practices Act requires that we inform you of your rights about the private data we are <br />requesting on this foam. Private data is available to you, but not to the public. We are requesting this data to <br />determine your eligibility for a Special Event license from the City of Elk River. You are not legally required <br />to provide this data, however, refusing to supply the data may cause your license to not be processed. This <br />data can be shared by City of Elk River staff and the City Council. Your signature on this application <br />indicates you understand these rights. <br />INDEMNIFICATION: The undersigned agrees to defend, indemnify, and hold the City, its officers and employees, <br />harmless from any liability, claim, damages, costs, judgments or expenses, including attorney's fees, resulting directly <br />or indirectly from an act or omission including, without limitation, professional errors and omissions of event <br />promoter, its agents or employees, arising out of the conduct of the activity authorized by such permit and against all <br />loss caused in any way by reason of the failure of the event promoter to fully perform all obligations under this <br />section. <br />r <br />re: SignatuDate: ��' 1 4 <br />